VA Diagnostic Code 6090Diplopia (double vision):
Rated under § 4.79. No rating levels have been extracted for this code yet — use the official source.
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Summary
Rated based on degree of diplopia and equivalent visual acuity: (a) Central 20 degrees — 5/200 (1.5/60); (b) 21 degrees to 30 degrees: (1) Down — 15/200 (4.5/60), (2) Lateral — 20/100 (6/30), (3) Up — 20/70 (6/21); (c) 31 degrees to 40 degrees: (1) Down — 20/200 (6/60), (2) Lateral — 20/70 (6/21), (3) Up — 20/40 (6/12).
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No rating levels extracted yet
This code has no itemised criteria in our copy of the schedule. Use the official source link for the controlling text.
Notes on this code
These notes are part of the regulation. They change how the levels above are applied.
- Note: In accordance with 38 CFR 4.31, diplopia that is occasional or that is correctable with spectacles is evaluated at 0 percent.
Diplopia (Double Vision) — VA Disability Rating (Diagnostic Code 6090)
Body system: Organs of Special Sense (Eye) · Rated under 38 CFR § 4.79
Understanding Diplopia
Diplopia, commonly known as double vision, is a condition of the eye. Under the VA rating schedule, it is evaluated based on the degree of diplopia and the equivalent visual acuity it produces. In practice, this means the VA translates the field where double vision occurs — and its direction — into a corresponding visual acuity value used for rating purposes.
How the VA Evaluates Diplopia
The VA assigns an equivalent visual acuity depending on the field of vision affected (measured in degrees) and the direction of the diplopia (down, lateral, or up):
(a) Central 20 degrees
- Equivalent visual acuity: 5/200 (1.5/60)
(b) 21 degrees to 30 degrees
- Down — 15/200 (4.5/60)
- Lateral — 20/100 (6/30)
- Up — 20/70 (6/21)
(c) 31 degrees to 40 degrees
- Down — 20/200 (6/60)
- Lateral — 20/70 (6/21)
- Up — 20/40 (6/12)
As shown above, diplopia affecting a more central field generally corresponds to a lower equivalent visual acuity, while diplopia in the outer ranges (31 to 40 degrees) — particularly in the upward direction — corresponds to a higher equivalent visual acuity.
Important Note
- In accordance with 38 CFR 4.31, diplopia that is occasional or that is correctable with spectacles is evaluated at 0 percent.
This overview is based on the VA rating criteria under Diagnostic Code 6090, § 4.79. Individual evaluations depend on the specific findings documented in your case.
These criteria are a rendering of § 4.79, diagnostic code 6090. The official version is the one that governs your rating.
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